ISHALON SHANQUELL SIEDAH WILSON

PORT ST LUCIE, FL
NPI1750126470
Professional NameISHA WILSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: FL  MH23967)
Enumeration Date2024-06-25
Last Update Date2024-06-25
Business Address
ISHALON SHANQUELL SIEDAH WILSON LMHC
4090 SW JAQUST ST
PORT ST LUCIE, FL 34953-5626
Phone number: 850-631-0977
Mailing Address
ISHALON SHANQUELL SIEDAH WILSON LMHC
4090 SW JAQUST ST
PORT ST LUCIE, FL 34953-5626
Phone number: 850-631-0977
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